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Visual evoked potentials in acute occipital blindness

✍ Scribed by Ch. W. Hess; O. Meienberg; H. P. Ludin


Publisher
Springer
Year
1982
Tongue
English
Weight
781 KB
Volume
227
Category
Article
ISSN
0340-5354

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✦ Synopsis


Pattern-evoked and flash-evoked responses were recorded from four patients with acute blindness due to occipital ischaemia. No responses could be obtained with pattern stimulation. Flash stimulation, however, yielded well-reproducible potentials in all four cases in spite of practically complete visual loss. In one patient vision recovered completely while the three others showed poor or minimal recovery in restricted visual field areas only. It is concluded that the flash method is not appropriate for differentiation of occipital blindness from psychogenic visual disorders. Furthermore, preserved flash-evoked potentials in the acute stage of occipital blindness cannot be taken as a reliable prognostic sign for visual recovery, as has been postulated by others. A possible extrastriate origin of these flash responses is discussed in view of recent theories on a second visual system.


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